Extending the RIGHT statement for reporting adapted practice guidelines in healthcare: The RIGHT-Ad@pt Checklist protocol

Yang Song, Andrea Darzi, Monica Ballesteros, Laura Martinez Garcia, Pablo Alonso-Coello, Thurayya Arayssi, Soumyadeep Bhaumik, Yaolong Chen, Francoise Cluzeau, Davina Ghersi, Paulina F. Padilla, Etienne V. Langlois, Holger J. Schünemann, Robin W.M. Vernooij, Elie A. Akl

Research output: Contribution to journalArticle


Introduction The adaptation of guidelines is an increasingly used methodology for the efficient development of contextualised recommendations. Nevertheless, there is no specific reporting guidance. The essential Reporting Items of Practice Guidelines in Healthcare (RIGHT) statement could be useful for reporting adapted guidelines, but it does not address all the important aspects of the adaptation process. The objective of our project is to develop an extension of the RIGHT statement for the reporting of adapted guidelines (RIGHT-Ad@pt Checklist). Methods and analysis To develop the RIGHT-Ad@pt Checklist, we will use a multistep process that includes: (1) establishment of a Working Group; (2) generation of an initial checklist based on the RIGHT statement; (3) optimisation of the checklist (an initial assessment of adapted guidelines, semistructured interviews, a Delphi consensus survey, an external review by guideline developers and users and a final assessment of adapted guidelines); and (4) approval of the final checklist. At each step of the process, we will calculate absolute frequencies and proportions, use content analysis to summarise and draw conclusions, discuss the results, draft a report and refine the checklist. Ethics and dissemination We have obtained a waiver of approval from the Clinical Research Ethics Committee at the Hospital de la Santa Creu i Sant Pau (Barcelona, Spain). We will disseminate the RIGHT-Ad@pt Checklist by publishing into a peer-reviewed journal, presenting to relevant stakeholders and translating into different languages. We will continuously seek feedback from stakeholders, surveil new relevant evidence and, if necessary, update the checklist.

Original languageEnglish
Article numbere031767
JournalBMJ Open
Issue number9
Publication statusPublished - 1 Sep 2019



  • Evidence-based medicine
  • guideline adaptation
  • guidelines as topic
  • practice guideline
  • quality
  • reporting standards

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Song, Y., Darzi, A., Ballesteros, M., Martinez Garcia, L., Alonso-Coello, P., Arayssi, T., Bhaumik, S., Chen, Y., Cluzeau, F., Ghersi, D., Padilla, P. F., Langlois, E. V., Schünemann, H. J., Vernooij, R. W. M., & Akl, E. A. (2019). Extending the RIGHT statement for reporting adapted practice guidelines in healthcare: The RIGHT-Ad@pt Checklist protocol. BMJ Open, 9(9), [e031767]. https://doi.org/10.1136/bmjopen-2019-031767